Donvito, Mark T
Donvito, Mark T is an individual health care provider with primary practice located at 2 S Hospital Dr , Murphysboro IL 62966-3333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Donvito, Mark T can be contacted via phone (618) 684-3156.Contact Information
Primary practice address
2 S Hospital Dr
Murphysboro IL 62966-3333
Phone: (618) 684-3156
Fax: (618) 529-0524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-077356 | Illinois |
Profile Details
| NPI number | 1073564175 |
|---|---|
| LBN Legal business name | Donvito, Mark T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Jan 11th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073564175 | NPPES |
| Illinois | MEDICAID | 036077356-4 | |
| Illinois | MEDICAID | 1073564175 |
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